Form C-3.3 Limited Release of Health Information (HIPAA) - New York (English / French)

What Is Form C-3.3?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-3.3?
A: Form C-3.3 is a Limited Release of Health Information form.

Q: What does HIPAA stand for?
A: HIPAA stands for Health Insurance Portability and Accountability Act.

Q: What is the purpose of Form C-3.3?
A: The purpose of Form C-3.3 is to allow individuals to authorize the release of their health information.

Q: Who needs to use Form C-3.3?
A: Individuals who want to authorize the release of their health information need to use Form C-3.3.

Q: Is Form C-3.3 specific to New York?
A: Yes, Form C-3.3 is specific to New York.

Q: Is Form C-3.3 available in English and French?
A: Yes, Form C-3.3 is available in both English and French.

Q: Can an individual revoke their authorization on Form C-3.3?
A: Yes, an individual can revoke their authorization on Form C-3.3 at any time by submitting a written request.